The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?

Refer the client to a psychiatrist since it is important to get treatment for postpartum depression quickly.

Inform the client that these symptoms will go away and to seek support from friends and family.

Discuss with the client the potential for involuntary admission to prevent harm to self and newborn.

Prepare for the administration of an IV neuroactive steroid over a 60-hour period of time.

Answer and Explanation

The Correct Answer is A

Choice A reason: Referring the client to a psychiatrist is important for a quick evaluation and treatment of postpartum depression, which can be serious if left untreated.

Choice B reason: Informing the client that symptoms will go away may not be therapeutic if the client is experiencing postpartum depression, which requires professional treatment.

Choice C reason: Discussing involuntary admission may be necessary if there is an immediate risk of harm, but it is not the first therapeutic action to take.

Choice D reason: Preparing for the administration of an IV neuroactive steroid could be part of a treatment plan, but it would typically follow a psychiatric evaluation and diagnosis.

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Correct Answer is C

Explanation

Choice A reason: Acrophobia is the fear of heights, which is not indicated by the client's fear of being outdoors alone.

Choice B reason: Xenophobia is the fear of strangers or foreigners, which does not align with the client's described fear.

Choice C reason: Agoraphobia is the fear of open spaces or being in crowded, public places like markets. It also includes the fear of leaving a safe place, such as home, which aligns with the client's symptoms.

Choice D reason: Mysophobia is the fear of germs, which is not related to the fear of being outdoors alone.

A. Persistently ask the same question until answered. B. Give the client ample time to answer the questions asked. C. Ask simple questions instead of compound questions. D. Provide simple explanations to the client as often as required. E. Take frequent breaks during the interview process.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A reason: Persistently asking the same question can increase agitation in clients with dementia.

Choice B reason: Allowing ample time for responses can reduce pressure and agitation in clients with dementia.

Choice C reason: Simple questions are easier for clients with dementia to understand and respond to.

Choice D reason: Providing simple explanations can help clients with dementia understand the purpose of the questions.

Choice E reason: Taking frequent breaks can help prevent fatigue and agitation during the assessment process.

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The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is ["B","C","D","E"]

Explanation

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